Healthcare Provider Details

I. General information

NPI: 1982914552
Provider Name (Legal Business Name): PIKEVILLE MEDICAL CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2010
Last Update Date: 10/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 COMMONWEALTH DRIVE
NORTON VA
24273-0451
US

IV. Provider business mailing address

911 BYPASS ROAD
PIKEVILLE KY
41501-1689
US

V. Phone/Fax

Practice location:
  • Phone: 606-218-3500
  • Fax:
Mailing address:
  • Phone: 606-218-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE HAGY
Title or Position: CFO
Credential:
Phone: 606-218-3500